儿童桡骨颈骨折治疗

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1、RadialNeckFracturesinChildrenTreatedWithElasticStableIntramedullaryNailingNingboNo.6hospitalCaojinAnatomyCharacteristicbeginsatfouryearsanditfusesattheageof14infemalesand17inmales.OssificationcenterCharacteristicage4～14yearsdiseaserate:5%ofelbowinjuriesor1%o

2、fallinjuriesinchindrenMechanismElbowinextension:morecommontypeElbowinflexed:raretypeClassificationJudetDWilkinsEDiagnosishistorysymptomphysicalsignradiographTreatmentcontroversyacceptabledegrees15°~45°themajorityopinion30°ReductionClosedreductionPercutaneouspi

3、nreductionOpenrecuctionClosedreduction30°～60°＞60°PercutaneouspinreductionRisk:radialnerveinjuryOpenreductioncontroversialoutcomesincidenceofcomplicationcausesadditionaldamageopenreductionFixationK-wiresElasticnailingTecniqueofelasticnailingPostoperativeradiogr

4、aphCase1A6-year-oldboysustainedaJudettypeIVfractureoftheradialneck.Follow-upradiographafterelasticnailingshowsgoodreduction.Thepatienthadanexcellentoutcome.Case1Follow-upradiographshowsfractureunionandanatomicreduction.Thepatientshowedanexcellentclinicalresult

5、andresumedfullmotion.ComplicationInfectionelbowstiffnessavascularnecrosisprematurephysealclosureAdvantageofESINminimallyinvasivetechniquestablefixationearlymobilizationanatomicalreductionlowercomplicationrategood-to-excellentresultsCase210-year-oldboysustained

6、aJudettypeIVfractureoftheradialneck.Postoperativeradiographshowsanatomicreduction.Thepatientshowedaminimalincision.ThankYouThankYouThankYouAnatomyByfouryearsofage,theradialheadandneckhaveassumedtheiradultshapewithaphysiologicalangulationoftheneckintheanteropos

7、terior(AP)planeofanaverageof12.5°laterallyandinthelateralplaneofanaverageof3.5°anteriorly.Theproximalradialepiphysisismainlysuppliedbyperiostealbloodvesselsrunningfromdistaltoproximal.Mechanism’2mainmechanismsofinjuryweredescribedinliterature.Inthemorecommonty

8、pe,aradialneckfractureoccursafterafallwiththeelbowinextensionandvalgus,resultinginafracturewithvalgusangulation.Intheraretype,themechanismisafallwiththeelbowflexed,whichcausestempo